Amblard J
Med Trop (Mars). 1984 Jan-Mar;44(1):49-56.
Two strategies toward tuberculosis control in the sanitary district of Adrar (Mauritania) are compared. From September 1976 to September 1978, tuberculosis control is centralized in few health centers where non standardized diagnosis methods are applied, with a curative and non-mobile scheme. From September 1978 to September 1980, this control is decentralized, utilizing the purposely set up preventive medicine structures which are based on one pluri -disciplinary mobile team and on sanitary agents (dél egu és sanitaires ). The comparative study indicates clearly that, during the second period, screening and monitoring of the patients is much more effective (significant decrease in the number of people no more recorded; increased number of the people either cured or presenting a favourable evolution). The author noticed in the area under investigation, that incidence of the disease did not depend upon both dwelling (urban or rural) and living conditions (nomadic or sedentary) In addition, the interest of paraclinical exams, bacilloscopy excepted, is rather inexistent in the screening of the pulmonary tuberculosis.
对阿德拉尔卫生区（毛里塔尼亚）的两种结核病控制策略进行了比较。1976年9月至1978年9月，结核病控制集中在少数几个采用非标准化诊断方法的卫生中心，采用的是治疗性和非流动方案。1978年9月至1980年9月，这种控制实行权力下放，利用专门设立的预防医学机构，这些机构基于一个多学科流动团队和卫生工作人员（卫生代表）。比较研究清楚地表明，在第二个时期，对患者的筛查和监测要有效得多（不再记录的人数显著减少；治愈或病情呈有利发展的人数增加）。作者在调查区域注意到，该病的发病率与居住环境（城市或农村）和生活条件（游牧或定居）均无关。此外，除细菌学检查外，辅助临床检查在肺结核筛查中几乎没有作用。
